Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.41 / $1,639.00 / $4,396.00	Facility		$369.41	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $294.77 / $438.94	Professional		$80.50	$294.77	$438.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $267.33 / $598.64	Professional		$81.90	$267.33	$598.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.52 / $179.53 / $191.98	Facility		$137.52	$179.53	$191.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $289.58 / $535.65	Professional		$85.48	$289.58	$535.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $158.27 / $520.11	Professional		$67.08	$158.27	$520.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $268.79 / $268.79	Facility		$143.88	$268.79	$268.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $122.45 / $312.35	Professional		$81.63	$122.45	$312.35
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,998.00	Facility		$200.00	$1,277.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.58 / $396.38 / $617.63	Professional		$299.58	$396.38	$617.63